The influence of urbanisation on measures of Plasmodium falciparum infection prevalence in East Africa.
The influence of urbanisation on measures of Plasmodium falciparum infection prevalence in East Africa.
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DOI：
10.1016/j.actatropica.2004.08.010
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发表时间：
2005-01
期刊：
影响因子：
2.7
通讯作者：
Snow, RW
中科院分区：
文献类型：
--
作者：
Omumbo, JA;Guerra, CA;Hay, SI;Snow, RW
人们越来越关注非洲城市化对恶性疟原虫风险和疾病结果的影响。我们对已发表和未发表的文献进行了回顾，以确定东非社区的寄生虫调查数据。选择的数据代表了最可靠和最新的感染流行率估计，并使用多种方法按城市或农村状况进行分类。我们确定了自1980年以来在该次区域进行的329项空间上不同的调查，其中37项在城市住区进行，292项在农村住区进行。总体而言，农村居民点报告的0-14岁儿童寄生虫感染率明显高于城市居民点（感染率平均高出10%; p < 0.05）。没有任何城市住区的寄生虫感染率超过75%。在气候条件可能支持较高寄生虫传播的东非地区，城乡差异最为显著。有一个显着的趋势，即记录更高的寄生虫患病率在农村相比，城市住区（p < 0.05），农村和城市样本之间的平均差异为18%（p < 0.001）。这些结果进一步突出表明，需要更好地界定非洲的城市范围，以掌握感染和疾病风险的非气候决定因素，并提供更知情的方法来描述整个非洲大陆的疾病负担。
There is a growing interest in the effects of urbanisation in Africa on Plasmodium falciparum risks and disease outcomes. We undertook a review of published and unpublished literature to identify parasite survey data from communities in East Africa. Data were selected to represent the most reliable and contemporary estimates of infection prevalence and were categorised by urban or rural status using a number of approaches. We identified 329 spatially distinct surveys undertaken since 1980 in the sub-region of which 37 were undertaken in urban settlements and 292 in rural settlements. Overall rural settlements reported significantly higher parasite prevalence among children aged 0–14 than urban settlements (on average 10% higher infection rates; p < 0.05). No urban settlements recorded parasite prevalence in excess of 75%. In areas of East Africa where climatic conditions are likely to support higher parasite transmission, the rural–urban difference was most marked. There was a significant trend towards documenting higher classes of parasite prevalence in rural compared to urban settlements (p < 0.05) and the mean difference between rural and urban samples was 18% (p < 0.001). These results further highlight the need to better define urban extents in Africa in order to capture the non-climatic determinants of infection and disease risk and provide a more informed approach to describing the burden of disease across the continent.
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影响因子：
3.3
作者：
Holtz, TH;Marum, LH;Kachur, SP
通讯作者：
Kachur, SP
影响因子：
3.3
作者：
Guyatt, HL;Noor, AM;Snow, RW
通讯作者：
Snow, RW
影响因子：
3
作者：
Mugisha, F;Arinaitwe, J
通讯作者：
Arinaitwe, J
DOI：
10.1080/00034983.1990.11812510
发表时间：
1990-12-01
影响因子：
--
作者：
LINDSAY, SW;CAMPBELL, H;GREENWOOD, BM
通讯作者：
GREENWOOD, BM
影响因子：
3.3
作者：
Molyneux, CS;Mung'ala-Odera, V;Snow, RW
通讯作者：
Snow, RW